Basic Information
Provider Information
NPI: 1639518715
EntityType: 2
ReplacementNPI:  
OrganizationName: QUALITY FIRST HEALTHCARE, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 CHESTNUT AVE
Address2: PO BOX 352 QUALITY FIRST HEALTHCARE, LLC
City: ALTOONA
State: PA
PostalCode: 166030352
CountryCode: US
TelephoneNumber: 8149465411
FaxNumber: 8149408471
Practice Location
Address1: 201 CHESTNUT AVE
Address2: QUALITY FIRST HEALTHCARE, LLC
City: ALTOONA
State: PA
PostalCode: 166014927
CountryCode: US
TelephoneNumber: 8149465411
FaxNumber: 8149408471
Other Information
ProviderEnumerationDate: 06/21/2013
LastUpdateDate: 06/27/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: PACKER
AuthorizedOfficialFirstName: ROBERT
AuthorizedOfficialMiddleName: R
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 8149465411
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


Home